This listing was posted on InsuranceClaimsWeb.
Consumer Claims Representative
Location:
Telecommuter
Description:
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.Great Place to WorkMost Loved Workplace Forbes Best-in-State EmployerConsumer Claims Representative PRIMARY PURPOSE : To analyze reports claims, determine benefits due and make timely payments and adjustments; to make timely payments and adjustments for specified program claims including high value and complex claims; to coordinate investigative efforts; to thoroughly review contested claims; to negotiate settlement of claims up to the designated authority level; and to provide superior customer services. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages first party property, casualty and/or medical reimbursement claims based on multiple/additional coverage and/or programs as defined by client-specific program. Makes coverage determinations based on investigation/evaluation and communicates claim actions with claimant and client. Adjudicates proper settlement up to designated authority level. Works directly with underwriter/client on high value and complex cases. Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines.. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing Bachelor's degree from and accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Three (3) years of claims management experience or equivalent combination of experience and education required. Skills & Knowledge In-depth knowledge of first party property and casualty claim adjudication as applicable to line of business Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Excellent analytical and interpretive skills Excellent organizational skills Excellent interpersonal skills Ability to work in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical : Computer keyboarding, travel as required Auditory/Visual : Hearing, vision and talking NOTE : Credit security clearance, confirmed via a background credit check, is required for this position.The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Requisition #: R49807tcv57hlu2
Company:
Sedgwick Claims Management Services
Posted:
April 25 on InsuranceClaimsWeb
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More About this Listing: Consumer Claims Representative
Consumer Claims Representative is a Insurance Jobs Claims Handler Job at Sedgwick Claims Management Services located in United States. Find other listings like Consumer Claims Representative by searching Oodle for Insurance Jobs Claims Handler Jobs.
Consumer Claims Representative is a Insurance Jobs Claims Handler Job at Sedgwick Claims Management Services located in United States. Find other listings like Consumer Claims Representative by searching Oodle for Insurance Jobs Claims Handler Jobs.